IndividualActive
Michael Villanueva, PSYD
NPI 1063522860 · Clinical Neuropsychologist · Medford, OR
Provider details
- NPI number
- 1063522860
- Entity type
- Individual
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD
- Sex
- Male
- Sole proprietor
- No
- License
- 0974 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
837 Alder Creek Dr
Medford, OR 97504-8911
Phone: (541) 608-3878
Fax: (541) 608-3880
Approximate (ZIP-level) locationGet directions
Mailing address
837 Alder Creek Dr
Medford, OR 97504-8911
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2010-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.